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Home › PA › Ramey › Beth Thomas Daycare
Ramey PA 16671 · License #CER-00249395 · Family Child Care Home
Not published by the state. Owners can add hours via profile claim.
When they operate
Schedule type not published.
Ages served
Ages not published.
3290.124(b)(5) · Emergency contact information must include information on the child's special needs, as specified by the child's parent, physician, physician's assistant of CRNP, which is needed in an emergency situation.
The Emergency contact form on file for Child #1 was observed not to have documentation of information on the child's special needs, which is needed in an emergency situation.
Corrected Corrected by Jan 2, 2025
Category: health medication. Marked corrected in the state record.
3290.135(a)(3) · If disposable diapers are provided by a parent or by a facility, a soiled diaper shall be discarded by immediately placing the diaper into a plastic-lined, hands-free covered can.
On the day of inspection, it was observed that the provider tied a soiled diaper in a grocery bag and then disposed of it in an outside trash can.
Corrected Corrected by Nov 20, 2024
Category: health medication. Marked corrected in the state record.
Generated from this facility's specific inspection record
Data synced from Pennsylvania DHS, Office of Child Development and Early Learning on Jul 8, 2026 · Source records · Report an error
3290.18 · Conditions at the facility may not pose a threat to the health or safety of the children.
The facility's emergency plan lacks a continuity plan for the aftermath of a disaster.
Corrected Corrected by Dec 15, 2023
Category: health medication. Marked corrected in the state record.
3290.123(a)(3) · An agreement shall specify the services to be provided to the family and the child, including the Department's approved form to provide information to the family about the child's growth and development in the context of the services being provided. the operator shall complete and update the form and provide a copy to the family in accordance with the updates regarding emergency contact information at § 3290.124(e).
The files for children #1, 2, 3, 4 and 5 lack a child service report within the past six months.
Corrected Corrected by Dec 6, 2023
Category: recordkeeping. Marked corrected in the state record.
3290.131(b)(1)/3290.182(1) · The operator shall require the parent to provide an updated health report at least every 6 months for an infant or young toddler. A child's record must contain initial and subsequent health reports.
The file for child #5, who is an infant, lacks a health report within the past six months. This is evidenced by the most current health report on file dated 3/6/23.
Corrected Corrected by Nov 29, 2023
Category: health medication. Marked corrected in the state record.
3290.131(c) · A health report must be written and signed by a physician, physician's assistant or a CRNP. The signature must include the individual's professional title.
The most current health report on file for child #3 lacks a written signature from a physician, physician's assistant or a CRNP.
Corrected Corrected by Dec 18, 2023
Category: health medication. Marked corrected in the state record.
3290.131(d)(5)/3290.131(e)(3) · A health report shall include a review of the child's immunized status according to recommendations of the ACIP. The facility shall implement dismissal policies in accordance with the Department of Health regulation in 28 Pa. Code § 27.77 (relating to immunization requirements for children in child care group settings).
The file for child #3 lacks a flu shot within the past 12 months as in accordance with the schedule recommended by the ACIP. The file for child #5 contains 2 of the 3 recommended doses of DTAP and PCV immunizations as in accordance with the schedule recommended by the ACIP and lacks a flu shot within the past 12 months.
Corrected Corrected by Dec 18, 2023
Category: health medication. Marked corrected in the state record.
3290.131(d)(7) · A health report shall include a statement that the child is able to participate in child care and appears to be free from contagious or communicable disease.
The most current health report on file for child #3 lacks the statement that the child is able to participate in childcare and appears to be free from contagious or communicable disease.
Corrected Corrected by Dec 18, 2023
Category: health medication. Marked corrected in the state record.
3290.182(3)/3290.182(5) · A child's record must contain signed parental consent for emergency medical care for the child. Written consent is required prior to admission. A child's record must contain signed parental consent for administration of minor first-aid procedures by facility staff. Written consent is required prior to admission.
The most current emergency contact information on file for child #5 lacks signed parental consent for emergency medical care and signed parental consent for administration of minor first-aid procedures by facility staff.
Corrected Corrected by Nov 30, 2023
Category: ratio. Marked corrected in the state record.
3290.24(f) · The operator shall provide to the parent of each enrolled child a letter explaining the emergency procedures described in subsection (a). The operator shall also provide to the parent of each enrolled child a letter explaining any subsequent update to the plan.
The operator did not provide to the parent of each enrolled child a letter explaining the emergency procedures described in subsection (a) including subsequent updates to the plan.
Corrected Corrected by Dec 15, 2023
Category: physical safety. Marked corrected in the state record.
3290.18 · Conditions at the facility may not pose a threat to the health or safety of the children.
The facility lacks a policy and procedure to identify the prevention of shaken baby syndrome, abusive head trauma, and child maltreatment which incudes but is not limited to: · Recognition of potential signs and symptoms of shaken baby syndrome and abusive head trauma; · Strategies for coping with a crying, fussing, or distraught child; and · Address the prevention and identification of child maltreatment. The facility's emergency plan lacks a continuity of operations plan for the aftermath of a disaster.
Corrected Corrected by Dec 28, 2022
Category: ratio. Marked corrected in the state record.
3290.18 · A facility shall be operated in conformity with applicable Federal and State laws and regulations. State agencies whose regulations may relate to the operation of a facility include the Department of Environmental Resources, the Department of Labor and Industry, the Department of Health, the Department of Education and the Department of Transportation. Conditions at the facility may not pose a threat to the health or safety of the children. Until such time as the required trainings are completed, staff person #1 must be supervised, when interacting with children, by a family child care home staff person who has completed the required training related to this citation. If there are no staff person(s) available to supervise staff person # 1, staff person #1 may not work in a child-care position at the facility.
Staff person #1 was observed to be caring for children unsupervised. Staff person #1 has not completed mandated reporter training within the last 60 months. This is evidenced by the previously documented mandated reporter training on file being dated 2/12/17.
Corrected Corrected by Nov 30, 2022
Category: supervision. Marked corrected in the state record.
3290.32(a)/3290.192(3) · The operator shall comply with the CPSL and with Chapter 3490 (relating to protective services). A facility person's record shall include a copy of requests for the criminal history record and child abuse registry clearance information, a copy of the disclosure statement and a copy of the completed clearance information required under the CPSL.
There was more than 60 months between the previous and most current State Police clearance on file for staff #1. Dates are as follows: 9/18/17 and 10/22/22. There was more than 60 months between the State Polce and Child Abuse clearances on file for household member #2. Dates are as follows: State Police- 7/28/17 and 10/22/22 and Child Abuse - 5/11/17 and 6/27/22. There is no FBI clearance on file for household member #2 which has been completed within the past 60 months. FBI clearance on file is dated 8/5/17. There was more than 60 months between State Police clearances on file for household member #3. Dates are as follows: 7/28/17 and 10/22/22.
Corrected Corrected by Oct 22, 2022
Category: background checks. Marked corrected in the state record.
3290.64(a) · Cleaning materials and other toxic materials shall be stored in an original labeled container or in a container that specifies the content. Toxics shall be kept in a locked area or in an area inaccessible to children, and shall be stored away from food, food preparation areas and child care spaces.
Observed toxic gel in the bathroom which was in reach of children.
Corrected Corrected by Nov 28, 2022
Category: ratio. Marked corrected in the state record.
3290.105(a) · (a) Individual, clean, age-appropriate rest equipment shall be provided for preschool, toddler and infant children as agreed between the parent and the operator. The rest equipment must be labeled with the child's name and used only by the named child while enrolled in the program.
Observed 2 infant pack n plays which lack a label with the child's name.
Corrected Corrected by Nov 28, 2022
Category: physical safety. Marked corrected in the state record.
3290.124(d) · A written plan shall be conspicuously posted which identifies the means of transporting a child to emergency care and the facility staffing provisions in the event of an emergency. The plan must accompany a staff person who leaves the facility on an excursion with children.
The facility lacked a posted written plan which identifies the means of transporting a child to emergency care and facility staffing provisions in the event of an emergency.
Corrected Corrected by Dec 29, 2022
Category: transportation. Marked corrected in the state record.
3290.124(e)/3290.181(c) · The parent shall update in writing emergency contact information once in a 6-month period or as soon as there is a change in the information. A parent is required to review and update the emergency contact information and the financial agreement at least once in a 6-month period or as soon as there is a change in the information.
There was more than 6 months between reviews/updates of the fee agreement/emergency contact information on file for child #1, 3. Dates for both updates are as follows for child #1: 9/23/21 and 11/9/22 and child #3 - 6/14/21 and 11/9/22. The fee agreement and emergency contact information on file for child #2, 4 and 5 were not reviewed/updated within the past six months. Last review/update for child #2 was completed on 12/30/21, child #4 - 1/28/22 and child #5 - 9/22/20.
Corrected Corrected by Dec 16, 2022
Category: recordkeeping. Marked corrected in the state record.
3290.131(b)(1)/3290.182(1) · The operator shall require the parent to provide an updated health report at least every 6 months for an infant or young toddler. A child's record must contain initial and subsequent health reports.
The file for child #2, who is a young toddler, lacks a health assessment which has been completed within the past six months. This is evidenced by the most current health report on file being completed on 1/18/22.
Corrected Corrected by Dec 6, 2022
Category: health medication. Marked corrected in the state record.
3290.131(b)(2)/3290.182(1) · The operator shall require the parent to provide an updated health report at least every 12 months for an older toddler or preschool child. A child's record must contain initial and subsequent health reports.
There was more than 12 months between the previous and most current and updated health reports on file for children #1 and 4. There are now current health reports on file.
Corrected Corrected by Dec 16, 2022
Category: health medication. Marked corrected in the state record.
3290.131(c)/3290.131(d)(7) · A health report must be written and signed by a physician, physician's assistant or a CRNP. The signature must include the individual's professional title. A health report shall include a statement that the child is able to participate in child care and appears to be free from contagious or communicable disease.
The current health reports on file for children #1 and 4 lack a signature by a physician, physician's assistant or CRNP which includes the individual's professional title and lack a statement that the child is able to participate in child care and appears to be free from contagious or communicable disease.
Corrected Corrected by Dec 16, 2022
Category: health medication. Marked corrected in the state record.
3290.131(e)(1)/3290.182(1) · The facility shall require the parent to provide updated written verification from a physician, physician's assistant, CRNP, the Department of Health or a local health department of ongoing vaccines administered to an infant, toddler or preschool child in accordance with the schedule recommended by the ACIP. A child's record must contain initial and subsequent health reports.
The current immunization record on file for child #2 contains 1 of the 2 Hep B vaccines and 0 of 1 MMR/Varicella vaccines administered in accordance with the schedule recommended by the ACIP.
Corrected Corrected by Dec 16, 2022
Category: health medication. Marked corrected in the state record.
3290.151(a)(2)/3290.192(2) · A health assessment is valid for 24 months following the date of signature, if the person does not contract a communicable disease or develop a medical problem. A facility person's record shall include a written report of initial and subsequent health assessments, including the results of initial and subsequent tuberculin skin tests, x-rays or other medical documentation necessary to confirm freedom from communicable tuberculosis.
There was more than 24 months between the previous and most current health assessments on file for staff #1. Dates are as follows: 2/13/20 and 9/27/22.
Corrected Corrected by Dec 16, 2022
Category: health medication. Marked corrected in the state record.
3290.24(a)(1) · The facility shall have an emergency plan that provides for accommodations for shelter of children during an emergency including lock-down, shelter in place at the facility and shelter at locations away from the facility premises.
The emergency plan on file did not include the word "lockdown".
Corrected Corrected by Dec 28, 2022
Category: recordkeeping. Marked corrected in the state record.
3290.31(g) · Staff person(s) shall complete professional development in the topics of 3290.31(g) (1-10) within 90 days of hire. Staff person #1 will have until 15 days from POC requested date to complete the required training. Until such time as the required training has been completed, staff person #1 must be supervised, when interacting with children, by a family child care home staff person who has completed the required training related to this citation. If there are no staff available to supervise staff person # 1, staff person #1 may not work in a child-care position at the facility.
Staff person/facility person/volunteer #1 has not completed mandated reporter training within the last 60 months. This is evidenced by the previously documented mandated reporter training on file being dated 2/12/17.
Corrected Corrected by Nov 30, 2022
Category: supervision. Marked corrected in the state record.
3290.24(c)/3290.192(4) · The operator shall assure that each facility person receives training regarding the emergency plan at the time of initial employment, on an annual basis and at the time of each plan update. The operator shall document the date of each training and the names of all facility persons who received the training. A facility person's record shall include records of training required by the Department.
At the time of the inspection, there was not documentation of staff #1 completing annual training regarding the emergency plan.
Corrected Corrected by Dec 6, 2021
Category: recordkeeping. Marked corrected in the state record.
3290.123(a)(5) · An agreement shall specify the persons designated by a parent to whom the child may be released.
The files of children #1, #2, #3, and #4 lacked agreements with the persons designated by a parent to whom the child may be released.
Corrected Corrected by Dec 6, 2021
Category: recordkeeping. Marked corrected in the state record.
3290.182(8) · A child's record must contain a copy of the initial agreement and subsequent written agreements between the parent and the operator. The parent receives the original agreement.
The file of child #5 lacked an agreement; none was on file.
Corrected Corrected by Dec 6, 2021
Category: recordkeeping. Marked corrected in the state record.
3290.24(a)(5) · The facility shall have an emergency plan that provides for accommodations of infants and toddlers, children with disabilities, and children with chronic medical conditions.
At the time of the inspection, the emergency plan did not have accommodations for children with disabilities, and children with chronic medical conditions.
Corrected Corrected by Dec 6, 2021
Category: physical safety. Marked corrected in the state record.
3290.95(a)/3290.95(b) · Fire detection devices or systems must be in compliance with standards established under section 1016(c) of the act (62 P.S. § 1016(c))The operator or designated staff person who is responsible for compliance with this chapter shall ensure the requirements in § 3290.95(a) are met.
At the time of the inspection, there was not documentation of testing the smoke detector system every 30 days; nor was there proof of purchase on file for the type of smoke detector system in place at the Family Child Care home.
Corrected Corrected by Dec 4, 2021
Category: recordkeeping. Marked corrected in the state record.
3290.22(b) · The operator shall provide the parent of each child enrolled in the facility with information on how to access the regulations in this chapter electronically and with instructions for contacting the appropriate regional child care office.
At the time of the inspection, there was not information on how to access the regulations in this chapter electronically posted or available for the parents.
Corrected Corrected by Dec 6, 2021
Marked corrected in the state record.